[Acute upper respiratory tract infections: outpatient diagnosis and treatment]
Paulo M C Pitrez1, José L B Pitrez
1Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil. pmpitrez@pucrs.br
Insights
Pediatricians frequently encounter upper respiratory infections (URI) in clinics. This review offers updated insights for accurate diagnosis and treatment, reducing unnecessary antimicrobial use in children.
Area of Science:
- Pediatrics
- Infectious Diseases
Context:
- Upper respiratory infections (URI) are the most frequent reason for pediatric outpatient visits.
- Accurate diagnosis and treatment are crucial for effective management.
Purpose:
- To provide an updated review of common URIs in children.
- To aid pediatricians in making informed diagnostic and therapeutic decisions.
- To address limitations in differential diagnosis and the overuse of antimicrobials.
Summary:
- Focuses on acute rhinopharyngitis, sinusitis, streptococcal tonsillitis, and viral croup.
- Critically examines diagnostic challenges and the inappropriate use of antibiotics.
- Highlights the need for evidence-based approaches to URI management.
Impact:
- Aims to decrease unnecessary diagnostic tests and ineffective treatments.
- Promotes rational antimicrobial prescribing in pediatric care.
- Enhances the overall quality of care for children with URIs.
Objective:
To present an updated review of the most common upper respiratory infections (URI) in children seen by the pediatrician in outpatient clinics, for better diagnostic and therapeutic decisions.
Sources:
References from Medline database were reviewed. The most relevant articles were selected.
Summary Of The Findings:
Acute rhinopharyngitis, sinusitis, streptococcal tonsillitis and viral croup are presented in a concise and critical view. Differential and etiological diagnosis limitations and the abusive use of antimicrobials in these illnesses are also discussed.
Conclusions:
URI are the most common cause of visits to pediatrician clinics. Therefore, update and critical concepts, as well as references are essential for a proper management of these illnesses, decreasing the indication of unnecessary diagnostic tests and avoiding non-effective and harmful treatments.
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